| Dustin Dakota Prince, DO | |
|
714 N College Rd Ste A, Twin Falls, ID 83301-5812 | |
| (208) 814-5075 | |
| (208) 933-9660 |
| Full Name | Dustin Dakota Prince |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 4 Years |
| Location | 714 N College Rd Ste A, Twin Falls, Idaho |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366183790 | NPI | - | NPPES |
| 300063355 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 02007373A (Indiana) | Secondary |
| 207QS0010X | Family Medicine - Sports Medicine | 3781208 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Indiana University Health | Indianapolis, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Iu Health Medical Group Llc | 9638617913 | 4382 |
| Entity Name | Iu Health Medical Group, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326893777 PECOS PAC ID: 9638617913 Enrollment ID: O20240817000533 |
| Mailing Address | Practice Location Address |
|---|---|
| Dustin Dakota Prince, DO 190 E Bannock St, Boise, ID 83712-6241 Ph: Not Available | Dustin Dakota Prince, DO 714 N College Rd Ste A, Twin Falls, ID 83301-5812 Ph: (208) 814-5075 |
Dr. Cathy White Canty, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 388 Martin St, Twin Falls, ID 83301 Phone: 208-734-0451 Fax: 208-734-0452 |
Jonathan Muretisch, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 512 Pole Line Rd Ste 2, Twin Falls, ID 83301 Phone: 208-735-3636 |
Marc Allan, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 512 Pole Line Rd Ste 2, Twin Falls, ID 83301 Phone: 208-735-3636 Fax: 208-735-3637 |
Steven A. Kohtz, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 730 N College Rd, Suite A, Twin Falls, ID 83301 Phone: 208-814-7300 Fax: 208-933-4601 |
Dr. Marc Van Farnworth, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 Pole Line Rd W, Twin Falls, ID 83301 Phone: 208-814-4100 Fax: 208-814-4908 |
Dr. Nichole S Halverson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 526 Shoup Ave W Ste F, Twin Falls, ID 83301 Phone: 208-736-7620 |
Mary Beth Curtis, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 730 N College Rd, Suite A, Twin Falls, ID 83301 Phone: 208-814-7300 Fax: 208-933-4601 |